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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - Commentary
Disclosure programmes in the US--an inadequate response to medical error.
Citation Text:
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318.
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psnet.ahrq.gov/issue/organizational-and-cultural-changes-providing-safe-patient-care
June 01, 2022 - Study
Organizational and cultural changes for providing safe patient care.
Citation Text:
Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care. 2005;14(3):132-143.
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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - Study
New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.
Citation Text:
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. Hea…
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psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
November 16, 2022 - Study
Adverse event reporting: lessons learned from 4 years of Florida office data.
Citation Text:
Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093.
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psnet.ahrq.gov/issue/new-york-presbyterian-hospital-translating-innovation-practice
October 19, 2022 - Award Recipient
New York-Presbyterian Hospital: translating innovation into practice.
Citation Text:
Johnson T, Currie G, Keill P, et al. NewYork-Presbyterian Hospital: translating innovation into practice. Jt Comm J Qual Patient Saf. 2005;31(10):554-60.
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psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
June 19, 2019 - Commentary
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Citation Text:
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
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psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
September 02, 2009 - Commentary
Patient experience must move beyond bad apples.
Citation Text:
Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725.
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
June 12, 2018 - Commentary
ASPEN parenteral nutrition safety consensus recommendations.
Citation Text:
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
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psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
June 17, 2014 - Study
Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.
Citation Text:
Kimland E, Rane A, Ufer M, et al. Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. Pharmacoepidemiol Drug Saf. 2005;14(7):493-9.
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - Commentary
A method of addressing proprietary name similarity for US prescription drugs.
Citation Text:
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
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psnet.ahrq.gov/issue/nhs-sticking-fingers-its-ears-humming-loudly
January 01, 2000 - Study
The NHS: sticking fingers in its ears, humming loudly.
Citation Text:
Pope R. The NHS: Sticking Fingers in Its Ears, Humming Loudly. J Bus Ethics. 2015;145(3):577-598. doi:10.1007/s10551-015-2861-4.
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - Study
Trend analysis of radiation therapy incidents over seven years.
Citation Text:
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
Classic
Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - Study
Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals.
Citation Text:
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
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psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
June 22, 2016 - Commentary
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'
Citation Text:
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
August 20, 2018 - Review
Emerging Classic
Diagnostic errors and the bedside clinical examination.
Citation Text:
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
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